More than one in six boys in the United States has been sexually victimized by the age of 16. Yet in the growing professional literature on child sexual abuse, few books focus specifically on the experience of victimized boys and men. This volume examines how sexual betrayal affects boys and the ways they carry this hurt into adulthood. Blending psychoanalytic understanding with insights from trauma-orientated theory and practice, Richard B. Gartner presents effective strategies for meeting the unique therapeutic needs of men with sexual abuse histories. Filled with clinical material, the book draws readers into the direct experience of these clients, the therapists who work with them, and the constantly shifting relational world they inhabit.